CMS Price Transparency Data
New patient office visit (30-44 min)
Facility: University Medical Center
Billing Code: 99203 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 99203
- Insurance Median: $158
- Cash Discount Price: $187
- vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at University Medical Center is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $187. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.34x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$187
Average discount available for prompt cash payment at this facility.
Insurance Median
$158
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$117.57
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $117.57 (100%)
Cash / Self-Pay: $187 (159%)
Insurance Median: $158 (134%)
Cash: $187 (159% of Medicare)
Ins. Median: $158 (134% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $117.57 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Input your details and click calculate to compare out-of-pocket costs.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Cement Masons & Plasters H&W | $47 - $279 | 40% |
| Aig | $47 - $332 | 40% |
| Beech Street | $47 - $332 | 40% |
| Aetna | $70 - $299 | 60% |
| Advantra Freedom | $70 - $166 | 60% |
| Blue Cross Blue Shield | $71 - $166 | 60% |
| Ambetter / Centene | $71 - $366 | 60% |
| Sierra Health and Life | $71 - $399 | 60% |
| Molina | $71 - $366 | 60% |
| Clark County Self Funded | $78 - $279 | 66% |
| Golden Nugget Hotel & Casino | $78 - $346 | 66% |
| Resorts World Las Vegas | $78 - $279 | 66% |
| Allwell | $78 - $108 | 66% |
| Las Vegas Sand Corps | $78 - $193 | 66% |
| Mirage Las Vegas | $78 - $279 | 66% |
| P3 Health Partners | $78 - $346 | 66% |
| Dignity Health | $78 - $346 | 66% |
| Selecthealth | $78 - $366 | 66% |
| Wynn Resorts | $78 - $279 | 66% |
| Arroweye Solutions | $78 - $346 | 66% |
| Teacher's Health Trust | $78 - $346 | 66% |
| Stations Casinos | $78 - $346 | 66% |
| UnitedHealthcare | $78 - $271 | 66% |
| Healthcare Partners of Nevada | $78 - $135 | 66% |
| P3 Health Partners Nevada | $78 - $150 | 66% |
| City of Henderson | $78 - $279 | 66% |
| Venetian/Palazzo | $78 - $346 | 66% |
| Golden Entertainment | $78 - $346 | 66% |
| Truline Corporation | $78 - $346 | 66% |
| Pli Las Vegas | $78 - $346 | 66% |
| Caesar's Entertainment | $78 - $279 | 66% |
| Clark County EPO | $78 - $279 | 66% |
| VA Pc3 (VA Choice) | $78 - $598 | 66% |
| City of North Las Vegas | $78 - $279 | 66% |
| Marshall Retail Group | $78 - $346 | 66% |
| Mgm Grand | $78 - $279 | 66% |
| Las Vegas Metro Police Dept | $78 - $279 | 66% |
| Rebel Oil Company | $78 - $346 | 66% |
| State of Nevada | $78 - $346 | 66% |
| Operating Engineers | $78 - $279 | 66% |
| Alignment Health | $82 - $200 | 70% |
| Scan | $82 - $200 | 70% |
| Coventry | $87 - $266 | 74% |
| Nevada Energy | $87 - $266 | 74% |
| Geha | $87 - $162 | 74% |
| Mail Handlers Benefit Plan | $87 - $266 | 74% |
| Clark County Firefighters 1908 | $87 - $279 | 74% |
| Employee Painters Trust | $87 - $279 | 74% |
| Health Net | $88 - $565 | 75% |
| First Health | $88 - $326 | 75% |
| Three Rivers Provider Network | $88 - $326 | 75% |
| Laborers Health and Welfare | $93 - $279 | 79% |
| Sheet Metal Workers | $93 - $166 | 79% |
| Bricklayers Local 13 | $93 - $279 | 79% |
| Teamsters Local 631 | $93 - $279 | 79% |
| Teamsters Local 986 | $93 - $279 | 79% |
| Plumbers & Pipefitters Loc 525 | $93 - $279 | 79% |
| Ufcw Local 711 Retail Clerks | $93 - $279 | 79% |
| Teamsters Local 14 | $93 - $279 | 79% |
| Boyd Group | $93 - $279 | 79% |
| California Ironwork Field Welfare | $93 - $166 | 79% |
| So Ca Pipe Trades H&W | $93 - $166 | 79% |
| Southwest Carpenters H&W | $93 - $166 | 79% |
| Electrical Workers | $93 - $279 | 79% |
| Culinary Workers Hwf | $96 - $279 | 82% |
| Laughlin Coalition | $110 - $259 | 94% |
| Prominence Health Plan | $118 - $399 | 100% |
| Hometown Health Plan Nevada | $118 - $162 | 100% |
| Nevada Preferred Professionals | $118 - $399 | 100% |
| Universal Health Network (Uhn) | $118 - $399 | 100% |
| Jw Marriott | $118 - $399 | 100% |
| One Health Plan | $118 - $213 | 100% |
| Health Direct Partners | $129 - $366 | 110% |
| Cigna | $158 - $238 | 134% |
| National Security Technologies | $158 - $238 | 134% |
| Cirque De Soleil | $158 - $238 | 134% |
| Kaiser | $158 - $238 | 134% |
| Great West Healthcare | $158 - $238 | 134% |
| Zuffa | $169 - $399 | 144% |
| Surest | $184 - $271 | 157% |
| American Postal Workers Health Plan | $184 - $271 | 157% |
| Clark County Detention Center | $190 - $200 | 162% |
| Hometown Health Plan of Nevada | $203 - $213 | 173% |
| Las Vegas Firefighters 1285 | $266 - $279 | 226% |
| Nevada Hand | $266 - $279 | 226% |
| Switch | $266 - $279 | 226% |